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沙特阿拉伯吉赞省社区药房专业人员在儿童急性腹泻管理中的自我报告及实际参与情况:模拟患者就诊与调查研究

Self-reported and the actual involvement of community pharmacy professionals in the management of acute childhood diarrhea in Jazan Province, Saudi Arabia: Simulated patient visits and survey study.

作者信息

Merghani Ali Eman, Alqahtani Saad S, Syed Nabeel Kashan, Banji Otilia J F, Mashragi Yahia Ali, Ageel Mohammed Ali, Hakami Bashaer Abdullah, Mathkur Majed Hassan, Solan Renad Mehsen, Khardali Amani, Tripathi Rina

机构信息

Department of Pharmacy Practice, College of Pharmacy, Jazan University, Jazan, Saudi Arabia.

Pharmacy Practice Research Unit, College of Pharmacy, Jazan University, Jazan, Saudi Arabia.

出版信息

Saudi Pharm J. 2022 Oct;30(10):1497-1506. doi: 10.1016/j.jsps.2022.07.012. Epub 2022 Jul 29.

Abstract

BACKGROUND

Acute childhood diarrhea is one of the most common causes of dehydration, and if severe, can potentially lead to death as well. The present study was aimed at evaluating the knowledge and attitudes of community pharmacy professionals towards the management of acute childhood diarrhea and comparing them with their actual practices in Jazan Province, Kingdom of Saudi Arabia (K.S.A).

METHODS

Simulated patient visits and a cross-sectional survey making use of a 27-item self-report questionnaire were conducted amongst a sample of 303 community pharmacy professionals (51.2 % male and 48.8 % female) with an age range of 25-56 years, between August 1 and December 1, 2021, in Jazan Province, Saudi Arabia. Convenience sampling technique was used for the recruitment of the participants.

RESULTS

Significant positive correlations were seen between knowledge score (self-report survey) and practice score (simulated patient visit) regarding patients' history taking (r = 0.65; ), drug recommendations (r = 0.71; ) and providing information regarding food and fluid intake (r = 0.44; ) The alpha coefficients for all the items of the survey instrument were noted to be greater than (or) equal to the 0.70 threshold for almost all sections, hence indicating good reliability and internal consistency of the developed scale.

CONCLUSION

In the present study, even though we observed improved participants' performance during the self report survey, their performance level greatly dropped in actual practice. This warrants for a need for educational programs to improve their actual dispensing practices. The present study has also shown simulated patient visits to be a reliable, simple and a robust method of assessing the actual dispensing practices of community pharmacy professionals.

摘要

背景

儿童急性腹泻是脱水的最常见原因之一,严重时还可能导致死亡。本研究旨在评估沙特阿拉伯王国(K.S.A)吉赞省社区药房专业人员对儿童急性腹泻管理的知识和态度,并将其与他们的实际做法进行比较。

方法

2021年8月1日至12月1日期间,在沙特阿拉伯吉赞省对303名社区药房专业人员(男性占51.2%,女性占48.8%)进行了模拟患者就诊和横断面调查,这些专业人员年龄在25至56岁之间。采用便利抽样技术招募参与者。

结果

在患者病史采集方面,知识得分(自我报告调查)与实践得分(模拟患者就诊)之间存在显著正相关(r = 0.65;),药物推荐方面(r = 0.71;)以及提供有关食物和液体摄入的信息方面(r = 0.44;)。调查工具所有项目的阿尔法系数几乎在所有部分都大于(或)等于0.70阈值,因此表明所开发量表具有良好的信度和内部一致性。

结论

在本研究中,尽管我们在自我报告调查中观察到参与者的表现有所改善,但他们在实际操作中的表现水平大幅下降。这表明需要开展教育项目以改善他们的实际配药做法。本研究还表明模拟患者就诊是评估社区药房专业人员实际配药做法的一种可靠、简单且有力的方法。

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